How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $4,073.80 | Facility | None | $1,096.48 | $1,096.48 | $4,073.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,096.48 Typical High $1,318.26 | Professional | None (both parts) | $933.25 | $1,096.48 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $154.88 | Professional | 26 · Professional part | $117.49 | $141.25 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $954.99 Typical High $1,174.90 | Professional | TC · Technical part | $812.83 | $954.99 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,230.27 Typical High $1,698.24 | Professional | None (both parts) | $851.14 | $1,230.27 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $147.91 Typical High $218.78 | Professional | 26 · Professional part | $104.71 | $147.91 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,071.52 Typical High $1,479.11 | Professional | TC · Technical part | $741.31 | $1,071.52 | $1,479.11 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $5,248.07 | Facility | None | $2,630.27 | $2,630.27 | $5,248.07 |
United Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,000.00 Typical High $1,584.89 | Professional | None (both parts) | $758.58 | $1,000.00 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $218.78 | Professional | 26 · Professional part | $97.72 | $131.83 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $891.25 Typical High $1,659.59 | Professional | TC · Technical part | $645.65 | $891.25 | $1,659.59 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $457.09 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $181.97 | $218.78 | $218.78 |
Where Delaware sits
The same service costs 2.9 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Delaware· 31st of 51
$1,096
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.